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ANDREW BLAKE CCC-SLP
NPI 1225899602
Speech-Language Pathologist in Salt Lake City, UT

Active since January 22, 2024
1200 E 3900 S, SALT LAKE CITY, UT 84124(801) 293-6800 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew Blake Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW BLAKE CCC-SLP (NPI 1225899602) is an individual speech-language pathologist provider in Salt Lake City, Utah, licensed in Utah (12379664-4102) and active in the NPI registry since January 2024. He maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1225899602
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameANDREW BLAKECredential: CCC-SLP
Location Address1200 E 3900 SSalt Lake City, UT 84124-1300
Mailing Address2170 S Mcclelland St Apt 320Salt Lake City, UT 84106-1018 · (208) 891-1856
Phone(801) 293-6800
Sole ProprietorNo
Enumeration DateJanuary 22, 2024
Last NPPES UpdateMarch 4, 2025
NPPES CertifiedMarch 4, 2025
✔ NPI 1225899602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in UT · 12379664-4102
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1200 E 3900 S, Salt Lake City, UT 84124
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Secondary Practice Location 1

Location 185 N Medical DrSalt Lake City, UT 84112-1100 · Phone (801) 587-3422

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK POWELL
Occupational Therapist
1200 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 268-7111
MATTHEW L PETERSON MD
Anesthesiology
1200 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 993-9530
DENNIS L. MORRIS MD
Anesthesiology
1200 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 993-9530
MRS. ELIZABETH ANN LOCKWOOD PT
Physical Therapist
1200 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 268-7111
MRS. AMBER LYNNE HARDMAN DNP
Nurse Practitioner (Critical Care Medicine)
1200 E 3900 S
MILLCREEK, UT 84124
Salt Lake County (801) 268-7111
DR. TAMMY KATHRYNE PARK MD
Emergency Medicine
1200 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 268-7975
DR. ADAM C STILES M.D.
Emergency Medicine
1200 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 268-7975
MS. PAULA ANN LARSEN LCSW
Social Worker (Clinical)
1200 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 268-7111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Blake's NPI number?

The NPI number for Andrew Blake is 1225899602. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Where is Andrew Blake located?

Andrew Blake practices at 1200 E 3900 S, Salt Lake City, UT 84124. The listed phone number is (801) 293-6800.

What is Andrew Blake's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Andrew Blake was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.